Lecture 17 & 18: Surgery of the Bladder & Urethra I & II

1.Given a term associated with surgery of the

bladder and urethra, the student will define the

term.

2. List common indications for performing a

cystotomy.

3. Summarize the common surgical and nonsurgical

techniques for the removal of urinary calculi.

4. Explain the detailed the surgical technique for

bladder stone removal, beginning with the surgical

approach through the post-operative period, to

include obtaining diagnostic samples,

retrohydropropulsion, surgical closure, and

surgical complications associated with the

procedure.

List general indications for performing a

urethrotomy or a urethrostomy.

List common indications for performing a

prescrotal urethrotomy, perineal urethrotomy,

canine perineal urethrostomy, canine prescrotal

urethrostomy, canine scrotal urethrostomy, and a

feline perineal urethrostomy.

Compare prescrotal urethrotomy, perineal urethrotomy, canine perineal urethrostomy, canine prescrotal urethrostomy, canine scrotal urethrostomy, and a feline perineal urethrostomy and discuss the advantages and disadvantages of each.

Identify the critical step, when performing a feline perineal urethrostomy that, if failed to be performed, may result in a urethral opening of insufficient diameter and predispose your patient to urinary tract blockage.

The critical step to ensure that the urethral diameter is sufficient and wont predispose your patient to further obstructions is you should be able to pass a closed Halsted mosquito hemostat up the urethra. It should easily pass to the boxlocks of the hemostat without resistance ~5mm

Define Cystotomy

a surgical incision into the urinary bladder

Define Cystostomy

the creation of an opening into the bladder

Define Cystectomy

is removal of a portion of the urinary bladder

Define Urethrotomy

Is a incision made into the urethra

Define Cystolithoasis

urinary bladder calcult

Define Cystolithectomy

removal of the urinary calculi.